In July 2004, he made a million gift to Hartwick College of Oneonta, New York, which was used to build a new academic building for the social science and management programs, and has been named Golisano Hall.
In 2014, The Golisano Neurology and Rehabilitation Center at Unity Hospital in Rochester, New York, funded by a $10 million contribution by Golisano, will open.
On October 30, 2012 it was revealed that Golisano was the $20 million anonymous donor to The Children's Hospital of Southwest Florida, in Fort Myers.
The PAC is aiming to support candidates for property tax cuts and election reform.
In October 2008, Golisano voiced his opinion in favor of term limits for public offices in the New York City.
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He is the founder of Paychex, the second largest payroll processor in the United States and former co-owner (along with real estate developer Larry Quinn) of the Buffalo Sabres hockey team and of the Buffalo Bandits lacrosse team.
Golisano, who had supported a number of Democratic Party candidates during the 2008 election, was dissatisfied with things like the Democrats' to solve the state's budget crisis by raising taxes on New York's wealthiest residents.
He orchestrated the defection of Democratic senators Pedro Espada Jr.
He is a founding member of the Independence Party of New York and ran on its ticket for governor of New York in 1994, 19.
Although he was never elected, his percentage of the vote increased with each election.
He changed his party affiliation to Republican, with the Independence Party's chairman's blessing, in October 2005, apparently in preparation for another gubernatorial run.